Clinical Documentation Improvement Auditor; CDI

Company Overview

Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today.

This position is part of a team whose primarily responsibility is to improve the overall quality and completeness of clinical documentation in the medical record. This position will perform regular audits and verifications to identify departmental and organizational education and improvement opportunities including CDI compliance/education, severity of illness/risk of mortality, and DRG assignment. This individual will facilitate improvement through interaction with physicians and other members of the health care team to achieve clinical documentation that best reflect the patient's clinical status and reflective of the care provided.

This position will also serve as an educational resource for all members of the health care team on an ongoing basis on issues related to clinical documentation.

• Bachelor of Science in Nursing OR Associate of Science in Nursing with Bachelor of Science in a comparable field OR Associate of Science in Nursing with a minimum of two years experience in a JA Thomas Clinical Documentation Improvement program.
• Current RN license in Georgia.
• Minimum 4 years experience in nursing in an acute care setting through direct patient care, utilization review, case management or quality review with passing score on clinical competency assessment.
• Minimum of 3 years of experience performing Clinical Documentation Improvement.